Sec Form 3 Filing - Stasz Jay @ Savers Value Village, Inc. - 2023-06-28

Insider filing report for Changes in Beneficial Ownership
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FORM 3
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
Stasz Jay
2. Issuer Name and Ticker or Trading Symbol
Savers Value Village, Inc. [ SVV]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
X __ Officer (give title below) _____ Other (specify below)
See Remarks
(Last) (First) (Middle)
C/O SAVERS VALUE VILLAGE, INC., 11400 S.E. 6TH STREET, SUITE 125
3. Date of Earliest Transaction (MM/DD/YY)
06/28/2023
(Street)
BELLEVUE, WA98004
4. If Amendment, Date Original Filed (MM/DD/YY)
6. Individual or Joint/Group Filing (Check Applicable Line)
__ X __ Form filed by One Reporting Person
_____ Form filed by More than One Reporting Person
(City) (State) (Zip)
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1.Title of Security
(Instr. 3)
2. Transaction Date (MM/DD/YY) 2A. Deemed Execution Date, if any (MM/DD/YY) 3. Transaction Code
(Instr. 8)
4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
6. Ownership Form: Direct (D) or Indirect (I)
(Instr. 4)
7. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V Amount (A) or (D) Price
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
( e.g. , puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 3)
2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (MM/DD/YY) 3A. Deemed Execution Date, if any (MM/DD/YY) 4. Transaction Code
(Instr. 8)
5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4, and 5)
6. Date Exercisable and Expiration Date
(MM/DD/YY)
7. Title and Amount of Underlying Securities
(Instr. 3 and 4)
8. Price of Derivative Security
(Instr. 5)
9. Number of Derivative Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 4)
10. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 4)
11. Nature of Indirect Beneficial Ownership
(Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Option (Right to Purchase) ( 1 ) $ 14.72 ( 2 ) 08/18/2032( 2 ) Common Stock 428,105 ( 2 ) D
Option (Right to Purchase) ( 1 ) $ 15.42 ( 3 ) 12/16/2032( 3 ) Common Stock 30,579 ( 3 ) D
Option (Right to Purchase) ( 1 ) $ 13.57 ( 4 ) 02/07/2033( 4 ) Common Stock 111,508 ( 4 ) D
Reporting Owners
Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Stasz Jay
C/O SAVERS VALUE VILLAGE, INC.
11400 S.E. 6TH STREET, SUITE 125
BELLEVUE, WA98004
See Remarks
Signatures
/s/ Jay C. Stasz 06/28/2023
Signature of Reporting Person Date
Explanation of Responses:
( 1 )Options previously granted under the Registrant's 2019 Management Incentive Plan. Each option represents the right to receive upon exercise one share of the Registrant's common stock subject to the applicable vesting and settlement conditions.
( 2 )Represents time-based options with a vesting schedule in substantially equal annual installments over five years starting July 19, 2023.
( 3 )Represents time-based options with a vesting schedule in substantially equal annual installments over five years starting December 16, 2023.
( 4 )Represents time-based options with a vesting schedule in substantially equal annual installments over five years starting February 7, 2024.

Remarks:
Chief Financial Officer and TreasurerExhibit 24.1 - Power of Attorney

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